Subsequent Sexually Transmitted Infections Among Adolescent and Young Adult Women Using Long Acting Reversible Contraceptives

• Published in: Journal of adolescent health 2017-02, Vol.60 (2), p.S33-S33
• Main Authors: Robateau-Colon, Anthony W., BS, Tomaszewski, Kathy, BSN, Belcher, Harolyn, MD, MPH, FSAHM, Trent, Maria, MD, MPH, FSAHM
• Format: Article
• Language: English
• Subjects: African Americans; Contraceptives; Insurance; Intrauterine devices; IUD; Medical screening; Pediatrics; Reversible; Sexual behavior; Sexually transmitted diseases; STD; Teenagers; Uninsured people; Urban areas; Women; Young adults
• ISSN: 1054-139X; 1879-1972
• DOI: 10.1016/j.jadohealth.2016.10.082

An abstract of a study by Robateau-Colon et al determining the rates of STI screening and positivity among sexually active urban youth who had a LARC (intrauterine device or implant) placed for contraceptive management and the relationship between their pre-LARC history and subsequent STI infections post-LARC placement among those who were tested is presented. Results showed that of 136 patients who had 1 year of follow-up, 80 met criteria for inclusion in the analysis by maintaining the LARC for a year (Nr=22 excluded) and having STI screening or testing during the 1-year follow-up period (N=34 additional cases excluded). The mean age of participants was 17.6 (SD=2.5), 96.2% (n=77) were African American, 87.5% (n=70) had public insurance, 7.5% (n=6) private and 5% (n=4) uninsured. Thirty percent (n 24) had a history of STI's and 15% (n=l2) had a history of pregnancy. The post-LARC rate of STI's was lower, 2 1.2% (C~= 58.8%, NG=O% TV =X=41.2%).